Individual
DR. JEFFREY BINGHAM WITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15813 PAUL VEGA MD DR STE 100, HAMMOND, LA 70403-1431
(985) 230-2663
(985) 230-2665
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
204614
LA
207X00000X
Orthopaedic Surgery Physician
PGY-1 INTERN PERMIT
LA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
204614
LA
Other
Enumeration date
06/20/2008
Last updated
12/30/2022
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